Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $71.91 / $113.28	Facility		$5.42	$71.91	$113.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $4.58 / $27.00	Professional		$3.36	$4.58	$27.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $10.22 / $10.81	Facility		$8.44	$10.22	$10.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $16.13	Professional		$1.94	$1.94	$16.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $10.68 / $11.10	Facility		$2.68	$10.68	$11.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $3.93 / $3.93	Professional		$3.93	$3.93	$3.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $12.64 / $19.38	Facility		$10.81	$12.64	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $11.73 / $13.33	Professional		$4.54	$11.73	$13.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $4.72	Facility		$3.49	$3.49	$4.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.93 / $69.30	Facility		$3.49	$3.93	$69.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $4.72 / $10.61	Professional		$2.36	$4.72	$10.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $7.69 / $85.00	Professional		$1.97	$7.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $4.72	Facility		$3.49	$3.49	$4.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $9.50 / $53.15	Professional		$4.80	$9.50	$53.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $7.86 / $62.00	Facility		$7.86	$7.86	$62.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.61 / $3.92	Professional		$2.08	$2.61	$3.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $8.36	Professional		$8.24	$8.24	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $15.66 / $21.46	Professional		$8.24	$15.66	$21.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $3.93 / $10.61	Professional		$2.36	$3.93	$10.61